Funding

Place of application: Local offices of the state Cabinet for Health and Family Services, Department for Community Based Services.

Scope of coverage: Optional state supplement provided to every aged, blind, and disabled person who needs care in a personal care facility other than a Medicaid facility or in a family care home licensed under the health licensure act or needs the services of a caretaker in the home and who has insufficient income to obtain this care. Children are eligible for the optional supplement of caretaker services in the home. The minimum age requirement is 16 for a personal care home and 18 for a family care home.

Resource limitations: Federal SSI regulations apply.

Income exclusions: Federal SSI regulations apply.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: Spouse for spouse; parent or stepparent for minor child in the month of admission only.

Interim assistance: State participates.

Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation.

SOURCES: Social Security Administration, Office of Income Security Programs; state information.

a. Couples are treated as two individuals starting with the month after leaving an independent living arrangement.

DEFINITIONS:

Personal care facility

Includes recipients who are ambulatory or mobile nonambulatory and able to manage most of the activities of daily life. Facilities provide supervision, basic health and health-related services, personal care, and social or recreational activities.

Family care home

Includes recipients in residential accommodations limited to two or three persons who are not related to the licensee. Residents of these homes must be ambulatory or mobile nonambulatory and be able to manage most of the activities of daily life. They cannot have an illness, injury, or disability requiring constant medical care.

Caretaker in home

Includes recipients who are eligible to receive caretaker services in their homes. These services are provided at regular intervals to prevent institutionalization.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2006

Living arrangement

Total

Aged

Blind

Disabled

All recipients

4,389

1,554

22

2,813

Personal care facility

3,374

--

--

--

Family care home

164

--

--

--

Caretaker in home

851

--

--

--

SOURCE: State information.

NOTE: -- = not available.

State Assistance for Special Needs

State provides assistance for special needs.

Medicaid

Eligibility

Criteria:SSI program guidelines (Title XVI).

Determined by: Social Security Administration.

Medically Needy Program

State provides a program for the aged, blind, and disabled medically needy.